STACEY MOMO NP
NPI 1700294006
Nurse Practitioner - Family in Wilmington, DE
About Stacey Momo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY MOMO NP (NPI 1700294006) is an individual family provider in Wilmington, Delaware, licensed in Delaware (LG-0013898) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacey Momo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stacey Momo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, DE 19709
- Reassigned Medicare billing, Delaware enrollment
- 42 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILMINGTON, DE 19806
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacey Momo's NPI number?
The NPI number for Stacey Momo is 1700294006. It was assigned to this individual provider in the NPPES registry on July 30, 2014.
Where is Stacey Momo located?
Stacey Momo practices at 2300 Pennsylvania Ave Ste 1A, Wilmington, DE 19806. The listed phone number is (302) 830-8636.
What is Stacey Momo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacey Momo enrolled in Medicare?
Yes. Stacey Momo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stacey Momo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Momo reassigns Medicare benefits to Nutrihealth LLC (Middletown, DE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Momo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Momo accept?
Health plans from Ambetter Health and Ambetter from Sunflower Health Plan list Stacey Momo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stacey Momo was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stacey Momo, NP · NPI 1700294006
Family physician in Wilmington, Delaware. Individual provider, active in the CMS NPPES registry since July 30, 2014.
## Identity
- **NPI:** 1700294006 (Entity type: Individual)
- **Enumerated:** July 30, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** LG-0013898 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 2300 PENNSYLVANIA AVE STE 1A, Wilmington, DE 19806-1333
- **Phone:** (302) 830-8636
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Nutrihealth LLC (NPI 1821703430, Middletown, DE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700294006) · Data from the CMS NPPES public registry.